Individual
EVELYN B JUARROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1216 9TH STREET, LAS VEGAS, NM 87701
(505) 425-8120
(505) 426-0190
Mailing address
1216 9TH STREET, LAS VEGAS, NM 87701
(505) 425-8120
(505) 426-0190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I-0647
NM
1041C0700X
Clinical Social Worker
Primary
I-0647
NM
Other
Enumeration date
05/22/2007
Last updated
09/10/2012
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